Mechanical Thrombectomy for Acute Ischemic Stroke in Czech Republic: Technical Results from the Year 2016
The result's identifiers
Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61383082%3A_____%2F18%3A00000421" target="_blank" >RIV/61383082:_____/18:00000421 - isvavai.cz</a>
Alternative codes found
RIV/00216224:14110/18:00105176 RIV/61988987:17110/18:A1901Z99 RIV/00216208:11130/18:10386094 RIV/00216208:11140/18:10386094 and 8 more
Result on the web
<a href="https://www.ncbi.nlm.nih.gov/pubmed/30151797" target="_blank" >https://www.ncbi.nlm.nih.gov/pubmed/30151797</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1007/s00270-018-2068-z" target="_blank" >10.1007/s00270-018-2068-z</a>
Alternative languages
Result language
angličtina
Original language name
Mechanical Thrombectomy for Acute Ischemic Stroke in Czech Republic: Technical Results from the Year 2016
Original language description
Background and PurposeExperienced multidisciplinary stroke team and well-organized hospital management are considered necessary to achieve good results after mechanical thrombectomy (MT) in acute ischemic stroke patients. We analyzed the technical results of MT performed in the Czech Republic in the year 2016 to provide relevant data for further quality improvement.Material and MethodsAll centers performing MT in the CR were called for detailed technical and clinical data from year 2016, which were anonymously analyzed and relevant technical key time intervals were compared. Clinical outcomes were assessed according to the HERMES meta-analysis.ResultsIn the 2016, 1053 MTs were performed in the CR. Of 15 dedicated centers, the data from 12 centers and from 886 (84%) patients (49.2% males, mean age 69.812.3years) were analyzed. The overall median of time from hospital arrival to groin puncture (GP) was 77min with a range from 40 to 109min among individual hospitals, from GP to first passage of stent retriever 20 (15-40) min and from GP to maximal reached recanalization 42 (33-80) min. The median of recanalization time was 240 (219-320) min. The recanalization (TICI 2b-3) was achieved in 81.7% of patients, 44.1% of patients had a good 3-month clinical outcome and 6.3% suffered from symptomatic intracerebral hemorrhage. Peri-procedural complications were recorded in 89 (10%) patients.Conclusion Despite achieved good overall results, a great variability in some of the analyzed key time intervals among individual centers performing MT warrants further quality improvement.
Czech name
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Czech description
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Classification
Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30201 - Cardiac and Cardiovascular systems
Result continuities
Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace
Others
Publication year
2018
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů
Data specific for result type
Name of the periodical
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
ISSN
0174-1551
e-ISSN
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Volume of the periodical
41
Issue of the periodical within the volume
12
Country of publishing house
US - UNITED STATES
Number of pages
8
Pages from-to
1901-1908
UT code for WoS article
000451931100010
EID of the result in the Scopus database
2-s2.0-85052623480